EMPANELLMENT OF LOCAL CHEMIST
Transcript of EMPANELLMENT OF LOCAL CHEMIST
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EMPLOYEES’ STATE INSURANCE CORPORATION HOSPITAL (Ministry of Labour and Employment, Government of India)
Sarojini Nagar, Near Literacy house /Krishna Nagar Metro station
Lucknow, Uttar Pradesh-226023
Tel-0522-2473814 Email: [email protected]
EMPANELLMENT OF LOCAL CHEMIST
Tender No.301/U-16/Tender/ 2018/store/ESICH-LKO Dated: 26/12/2019
Sub:-Invitation to e-tender through Central Public procurement portal for
empanelment of Local Chemist for Local purchases of Drugs, Dressings, Surgical
Consumables & Lab Chemicals / X-ray films. (Note: The envelope containing the tender as well as subsequent communication should be addressed and
delivered to ‘The Medical Superintendent’, ESIC Hospital, Sarojini Nagar, Near Literacy house /Krishna
Metro station Lucknow, Uttar Pradesh-226023. All communications must be addressed to the officer
named above by title only and not by name.)
From: -sd The Medical Superintendent
ESIC HOSPITAL
Sarojini Nagar, Near Literacy house /
Krishna Nagar Metro Station, Lucknow,
Uttar Pradesh-226023
To: M/s
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Sir(s),
The Medical Superintendent Invites sealed tender for SUPPLY OF / WORK CONTRACT / EMPANELMENT of “LOCAL PURCHASE OF DRUGS, DRESSINGS
AND SURGICAL COSUMABLES & Lab Chemicals / X-ray films.” from firms having
minimum 2 years experience in supplying of medicines to any govt. institutions /
PSU’s/Autonomous body, Located within 15 Km (preferably) from ESIC Hospital
Lucknow, as per specifications and/or quantities detailed in the Schedule attached. The
Tender Form containing the Check List for compulsory Documents as Annexure-I, the Terms
and Conditions of contract, which will govern any contract made, is annexed as Annexure-II,
the Schedule of e-tender is given on page 03, Performa for % of Offer /discount ,annexed as
Annexure-III and tender application form as Annexure-IV.
The interested Tenderer should upload duly filled tender form and their bids along with
scanned copies of all the relevant certificates, documents, etc. in support of their bid
document- all duly signed- on the central public procurement e-procure portal/ website
https://eprocure.gov.in
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A complete set of hard copy of e-tender documents along with ORIGINAL EMD must be
submitted latest by 17.01.2020 up to 01.00 pm. in the tender box kept in MS/DMS Room
ESIC Hospital, Sarojini Nagar, Near Literacy house /Krishna Metro station Lucknow, Uttar
Pradesh-226023. Non – submission of hardcopy as directed will lead to rejection of the tender
application. Application to this tender will be accepted only through the online mode through
https://eprocure.gov.in followed by submission of hard copy in Tender Box as stated above. No
other mode of application will be considered & application will not be accepted.
The tender documents can also be downloaded from the ESIC website i.e
http://www.esic.nic.in
All the payment will be made by Demand draft only; drawn in favor of ESI Fund A/C
No. 1, payable at Lucknow. Cheques will not be accepted.
Tenderer are requested that, before quoting their rates or sending tender, the tender form
may please be read out thoroughly (line by line), otherwise purchaser will not be held
responsible for any error / oversight of his own.
The form is a Standard Form of Tender. Certain clause/clauses may not be applicable in
some cases. So, Tenderer are requested to ignore such clause/clauses, which are not applicable in
the instant cases.
In the event of the space on the schedule form being insufficient for the required purpose,
additional pages may be added. Each such additional page must be numbered consecutively, bear
the Tender Number and fully signed by the Tenderer. In such cases, reference to the additional
pages must be made in the Tender Form.
If any modification of the schedule is considered necessary, Tenderer should
communicate the same by means of separate letter sent along with the Tender.
The Medical Superintendent, ESIC Hospital, Lucknow does not pledge himself to accept
the lowest or any tender and reserve to himself the right of accepting the whole or any part of the
tender or portion of the quantity offered and you shall supply the same / execute the work at the
rate quoted by you. You are at liberty to tender for the whole or any part.
Acceptance by the purchaser shall be communicated in due course. You are requested
that the instructions contained is the said communication should be acted upon immediately / as
asked for.
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EMPLOYEES’ STATE INSURANCE CORPORATION HOSPITAL (Ministry of Labour and Employment, Government of India)
Sarojini Nagar, Near Literacy house /Krishna Nagar Metro station
Lucknow, Uttar Pradesh-226023
Tel-0522-2473814 Email: [email protected]
Schedule of E-Tender
-sd
The Medical Superintendent,
ESIC, Hospital Sarojini Nagar, Near Literacy house /
Krishna Nagar Metro Station, Lucknow,
Uttar Pradesh-226023
Date of Publishing of Tender
27.12.2019
Last Date of applying online Tender 17.01.2020 up to 01:00 PM
Date & Time of Opening of Tender 18.01.2020 at 01:00 PM
Date & Time of submission of
Original E- Tender copy along with
EMD 17.01.2020 at 01:00 PM in Tender Box
Earnest Money
Rs. 70000.00 ( seventy thousand )
Security Money Rs. 175000.00 ( One lakh seventy five thousand)
for successful bid
Expected value of Local Purchase Rs. 3500000.00 ( Thirty five Lakh)
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EMPLOYEES’ STATE INSURANCE CORPORATION HOSPITAL (Ministry of Labour and Employment, Government of India)
Sarojini Nagar, Near Literacy house /Krishna Nagar Metro station
Lucknow, Uttar Pradesh-226023
Tel-0522-2473814 Email: [email protected]
Tender Enclosures
➢ Annexure- I (Check list for compulsory documents)
➢ Annexure- II (Tender Form And Terms & Conditions)
➢ Annexure- III (Schedule of Work / Specification for Local Purchase of Drugs, Dressings
& Consumables , Lab chemicals & X ray films.)
➢ Annexure- IV (Tender Application Form)
➢ Undertaking On Non Judicial Stamp Paper of Rs 100
(Two undertaking separate on tender document page no. 15 & 16)
-sd
The Medical Superintendent,
ESIC, Hospital Sarojini Nagar, Near Literacy house /
Krishna Nagar Metro Station, Lucknow,
Uttar Pradesh-226023
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To
The Medical Superintendent
ESIC Hospital, Lucknow Annexure -I
Compulsory documents/condition for Technical Bid (Without which the offer is Liable to be cancelled)
S.no. Description of Documents Submission Annexure No./page no.
1 Earnest Money deposited by Demand Draft Submitted(yes/No)
2 Original E- Tender Document signing all the
Pages ( except Annexure –III- Financial bid
which should be submitted in Sealed cover
separately)
Submitted(yes/No)
3 Valid drug license for retail chemists as per
Drugs & Cosmetics Act.
Submitted(yes/No)
4 Experience Certificate of minimum 2 years for
supplying of medicines to any Govt.
institution/PSU/Autonomous body.
Submitted(yes/No)
5 No Conviction Certificate from State Drug
Controller that there is no case pending under
the drugs & cosmetics Act and Rules there
under as well as under Drug Price Control
Order against the firm during the last 3 years.
No Conviction Certificate should be of the
year 2018/2019.
Submitted(yes/No)
6 Valid Trade License ( if applicable) Submitted(yes/No)
7 Latest Sales Tax/ GST registration certificate. Submitted(yes/No)
9 Mandate Form For e-payment purpose Submitted(yes/No)
10 Audited Average Annual Turnover of Rs.35 lacs
during each of the last 3 financial years & duly
certified by Chartered Accountant along with
profit & loss account and income & Expenditure
statement of the firm for the last three years
Submitted(yes/No)
11 The supplier should be willing to supply the
items within the time limits as specified in the
terms and conditions of this tender document at
ESIC Hospital, Lucknow (as per undertaking)
Submitted(yes/No)
12 Distance from ESIC hospital in Km. Distance in KM...
Date Place: - Signature of Tenderer With office Seal
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EMPLOYEES’ STATE INSURANCE CORPORATION HOSPITAL (Ministry of Labour and Employment, Government of India)
Sarojini Nagar, Near Literacy house /Krishna Nagar Metro station
Lucknow, Uttar Pradesh-226023
Tel-0522-2473814 Email: [email protected]
Annexure-II
TENDER FORM AND TERMS & CONDITIONS
Date of Publishing of E-Tender
27.12.2019
Last Date of applying online E-Tender
17.01.2020 up to 01:00 PM
Date & Time of Opening of E- Tender 18.01.2020 at 01:00 PM
Date & Time of submission of
Original E- Tender copy along with
EMD 17.01.2020 at 01:00 PM in Tender Box
Earnest Money Rs. 75000.00
Security Money Rs. 1,75000.00 ( for successful bidder)
Expected value of Local Purchase Rs. 3500000.00
1. PREPARATION OF TENDER:
a. The Tender form containing the Terms and Conditions and the Schedule should be
returned in original, intact, after filling up the form and signing in full on each page, whether you
are quoting for any item or not, failing which the tender will be liable for rejection. In the event of the space on the Schedule form being insufficient for the required purpose
additional pages may be added. Each such additional page must be numbered consecutively bear
the Tender Number and be fully signed by you. In such cases, reference to the additional pages
must be made in the Tender form. b. If any modification of the Schedule is considered necessary, you should communicate the
same by means of separate letter sent with the Tender.
2. SIGNING OF TENDER:-
a. The tender is liable to be ignored if complete information is not given therein or if the
particulars and date (if any) asked for in the tender are not fully filled in. b. Individuals signing tender or other documents connected with the contract must specify:-
i. Whether signing as a ‘Sole Proprietor’ of the firm or his Attorney.
ii. Whether signing as a ‘Registered Active Partner’ of the firm or his Attorney?
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iii. Whether signing for the firm ‘Per Procreation’?
In the case of companies and firms registered under the Indian Partnership Act, the capacity in
which signing e.g. Secretary, Manager and Partner etc. or their attorney and produce Copy of
documents, empowering him to do so, if called upon to do so.
NOTE: In case of unregistered firms, all the members or all attorneys duly authorized by
all of them or the Manager of the firm should sign the tender and subsequent documents.
3. DELIVERY OF TENDER:
The original copy of E- tender along with the declaration form duly completed and signed should
be submitted, enclosed in a double cover. The outer as well as the inner covers should be sealed
and addressed to the Medical Superintendent. At the top of the inner and outer cover the
following words should be written in block letters. “E-TENDER OF THE SUPPLY OF / WORK
CONTRACT OF / TIE-UP ARRANGEMENT of LOCAL PURCHASE OF DRUGS,
DRESSINGS AND SURGICAL COSUMABLES/ Lab Chemicals & X-ray Films”. Tender
submitted by hand should be drop in the “Tender Box” that will be kept in the room of the
DMS/ MS at 2nd Floor, ESIC Hospital, Lucknow.
4. LATEST HOUR FOR RECEIPT OF THE TENDER :-
Your tender must reach this office not later than the time and date notified in the Tender Notice
stated in the schedule of tender. In the event of the stipulated date of opening of the tender being
declared a closed holiday for Govt. offices, the date of opening of the tender(s) will be the next
working day. Copy of E-Tender sent by hand delivery, should be delivered at this office not later
than the due date and time stipulated in the schedule of tender.
5. PERIOD FOR WHICH THE OFFER WILL REMAIN OPEN:
a. All the tenders shall remain valid for acceptance for a period of SIX (6) months from the
date of opening of the tender or for such period as stated in Special Terms & Conditions. For this
purpose the tender documents will be kept in the custody of the concerned department or any
other safe place which the Medical Superintendent deemed fit. b. Quotations qualified by such vague and indefinite expressions such as ‘subjects to
immediate acceptance’ subject to prior sale etc. will not be considered.
6. OPENING OF TENDER:
All tenderer and/or their representative, if they should desire, may be present at the opening of the tender at the time and date as specified in the schedule.
7. VALIDITY OF CONTRACT:
The contract shall be valid for ONE YEAR from the date of award of the contract unless short
closed before that by the Medical Superintendent. However, the Medical Superintendent on his
discretion can also extend the period for further one year on the same terms & conditions
depending on the performance.
8. ACCEPTANCE OF TENDER (PRICES): Criteria for acceptance and awarding the tender will be on fulfillment of technical conditions as well
as offering of the maximum discounts on the items by the local chemist. Separate discounts should be
quoted for Generic and Branded items. Minimum discount offered on Branded items( Drug)
should not be less than 20% on M.R.P. and Minimum discount offered on Generic items (For
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both generic drug & Generic Dressing/surgical/disposable) should not be less than 60% on
M.R.P. The figures/ rates quoted in the Tender Annexure-III must be covered with transparent
tape to avoid any tempering in sealed envelope. No overwriting or Correction is permitted.
The chemist will be paid on M.R.P. i.e. Maximum Retail Price (which is printed on the
packing/flaps/bottles) less discounts and no extra Sales Tax, Octroi or other levy/tax/GST will
be paid ,which has to be borne by the chemist. Tampering on the printed MRP of the
manufacturer by the local chemist by use of stickers or any other means will not be accepted.
Medical Superintendent has the right to demands for supply of Medicines in generic form
only , which are listed in NATIONAL LIST OF ESSENTIAL MEDICINE (NLEM)
updated time to time by Govt. of India.
Note:- In case more than one bidder quote the same lowest rate, the bidder with higher
annual turnover shall be given preference for award of work.
9. DELIVERY TIME:
a. The delivery of the stores/execution of work/providing the services etc. is required within
a Period as specified below and at the place mentioned therein.
b. The time for and the date of delivery of the stores stipulated in the schedule shall be
deemed to be the essence of contract and delivery must be completed no later than the date(s)
specified.
c. But if the delay shall have arisen from any cause, such as strikes, lockouts, fire accidents,
riot etc., which the Medical Superintendent, ESIC Hospital, Lucknow, if consider as reasonable
ground for further time, may allow such additional time required for delivery of store depending
on circumstances of the case.
10. INSPECTION OF THE SERVICES & ITEM STOCKS IN HAND AT TENDERER’S
PREMISES: The tender shall whenever call upon to do so, give full information with reference to the services
in hand and shall also permit the Medical Superintendent or any other officer nominated by her
to inspect the premises of the tenderer at all reasonable times and shall give full assistance and
information as may be required by her in connection with the contract.
11. INSPECTION OF THE ITEMS SUPPLIED TO THE MEDICAL STORE:
Supplies shall be accepted / work shall be certified as completed subject to inspection by the
Medical Superintendent, ESIC Hospital, Lucknow or her assigned representative. Any defect
found in the materials / work done will render the supplies / work open to rejection and decision
of the Medical Superintendent shall be final and legally binding. The rejected store shall be
returned to the suppliers at their risk and costs.
12. RESPONSIBILITY FOR EXECUTING CONTRACT:
a. The contractor is to be entirely responsible for the execution of the contract in all respects in accordance with the terms and conditions as specified in the acceptance of tender. b. The contractor shall not sublet transfer or assign the contract or any part thereof without
the written permission of the Medical Superintendent. In the event of the contractor contravening
this condition, the Medical Superintendent shall be entitled to place the contract elsewhere on the
contractors account at his own risk and the contractor shall be liable for any loss or damage
which the Medical Superintendent, ESIC Hospital, Lucknow , may sustain in consequence or
arising out of such replacing of the contract.
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c. The contractor will maintain sufficient stock of the standard quality of medicines at all
times to avoid inconvenience to ESI Beneficiaries. The local chemist (contractor) will also
maintain sufficient stock of generic division of the reputed / leading manufacturers of drugs and
a list of such drugs may be produce upon demand of Medical superintendent.
d. Local Chemist (contractor) will indicate Batch number, Name of manufacturer & Expiry
date on indents at the time of supplying the drugs at ESIC Hospital, Lucknow.
e. Indents are to be accepted on either sides, only after duly countersigned by the M.S. /
Store I/C of the hospital.
13. EARNEST MONEY:
The tender shall have to deposit an amount of Rs. 75000.00 (Rupees Seventy Five thousand
Only), by way of Demand Draft, drawn in favor of ESI Fund A/c No. 1 ESIC Hospital,
Lucknow, as earnest money with their tender. In the event of the withdrawal/revocation of
tenders before the date specified for acceptance, the earnest money shall stand forfeited. In the
event of acceptance of the tender the earnest money may be adjusted towards the amount of
security required to be deposited by the contractor. In terms of Clause mentioned below, the
earnest money however, be returned without interest to the tenderer whose tender is not
accepted. Earnest money should be taken back by tenderer within 2 months from date of opening
of tender.
14. SECURITY DEPOSIT:
On acceptance of the tender, contractor shall within the period specified by the Medical
Superintendent, deposit as security, a sum equivalent Rs.175000.00 (Rupees one lakh Seventy
five thousand only). The Hospital authority shall be entitled to forfeit the Security Deposit or
any part thereof without prejudice to any other remedies provided in the contract or available
under the law. The security shall be in the form of Demand Draft in favor of ESI Fund A/c No.
1 payable at Lucknow. a) If the contractor fails in fulfilling above-mentioned terms and conditions, such failures
will constitute a breach of the contract and the Medical Superintendent shall be entitled to make
other arrangements at the risk and expense of the contractor.
b) On due performance and completion of the contract in all respects, the Security Deposit
will be returned to the contractor without any interest on presentation of Satisfactory
Performance Report from the user unit. Security Deposit will be forfeited in cases of
Unsatisfactory Performance Report. Security deposit should be taken back by tenderer within 2
months from the date of completion of contract.
15. RECOVERY OF SUMS DUES:-
Whenever any claim for the payment of a sum of money arises out of or under this contract
against the contractor (local chemist) the purchaser shall be entitled to recover such sum by
appropriating in part or whole the security/earnest money deposited by the contractor. When the
balance or the total sum to be recoverable as the case may be shall be deducted from any sum
then due or which at any time thereafter may become due to recoverable under this or any other
contract with the purchaser. Should this sum not be sufficient to cover the full amount
recoverable the contractor shall pay to the purchaser on demand the remaining balance due.
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16. DOCUMENTS REQUIRED:
The contractor (local chemist) will have to submit the following documents along with the
tender. i. Valid drug license for retail chemists as per Drugs & Cosmetics Act.
ii. No conviction Certificate from State Drug Controller that there is no case pending under
the drugs & cosmetics Act and Rules there under as well as under Drug Price Control Order
against the firm during the last 3 years. No Conviction Certificate should be of the calendar year
2018-2019.
iii. Valid Trade License (If applicable).
iv. Latest Sales Tax /GST registration certificate. v. Mandate Form for e-payment purposes.
vi. Audited Average Annual Turnover of Rs.35 lacs during each of the last 3 financial
years, duly certified by Chartered Accountant along with profit & loss account and income &
expenditure statement of the firm for the last three years.
vii. Experience certificate of Minimum 2 years experience for supplying of medicines to any
Govt.instutution /PSU/ Autonomous body.
viii. Any other relevant documents stated in Tender.
17. ACCEPTANCE:
The finalization of tender the Local chemist will be communicated by a letter of offer. In case of
local chemist is willing to accept the offer he has to submit the letter of acceptance and enter into
the agreement on a Non-Judicial stamp paper of Rs 100/- with the ESIC as per terms and
conditions of the contract.
18. RESERVATIONS: The Medical Superintendent reserves the right to reject any or all tender without assigning any reason
whatsoever and can award full contract to any successful agency (ies) at its directions and this will be
binding on the tenderer. Medical Superintendent ESIC Hospital, Lucknow reserves the right to
enter into parallel contract simultaneously or at any time during the period of this contract with
one or more chemists for one and the same medicines or for different medicines. The purchaser
i.e. Medical Superintendent, ESIC Hospital reserves the right to appoint any number of local
chemists separately.
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19. INSTRUCTIONS FOR INDENT COLLECTION AND SUPPLY OF ITEMS:
a) The approved tenderer and/or their authorized representative(s) will visit the Medical
Store section of this hospital daily on working days between 10:00AM to 01:00PM from
Monday to Friday and between 10:00AM to 12:00PM on Saturday to collect the order of
local purchase if any. The chemist/chemist's representative will sign in the Purchase Order
Register in the medical store of the hospital as a proof of having attended the hospital. On
Sundays /Holidays and beyond normal working hours, emergency orders may be placed by the
Casualty Medical Officer under his name and seal. b) After obtaining the order as specified in clause above, the approved tenderer and/or their
authorized representative(s) shall supply the materials as per order to the Medical Store Section
of this hospital on the next day by 10:00AM to 01:00PM from Monday to Friday and
10:00AM to 12:00 PM on Saturday.
c) In case of the order placed by the store on Saturday the supply shall be made on the next working day and for “Emergency Orders” supply will be made to the wards/ Casualty as
mentioned in the requisition written. d) In emergency and exceptional situations, items supplied outside office hours will be
received by the officials of the Casualty department (For this purpose a separate register will be
maintained in the Casualty dept.) but the tenderer will ensure that the Challan /Indent is re-
verified in the Medical Store department on the immediate next working day.
e) The tenderer or his representative should be available / approachable for 24 hours over
phone for supply of all items. In case of any emergency requirements, if the order is placed for
any item at any time, the requisitioned item shall have to be supplied immediately. The contact
telephone number, mobile number, Fax or E-Mail must be provided to the hospital authority for
such purpose.
f) During normal office hours, the Medical Store Section will receive the drugs, dressings,
Surgical items, etc. and will verify the “Maximum Retail Price” and other particulars and certify
on the Challan/Indents as well as bills. g) The medicines/ drugs to be supplied will be of standard quality. In case, it is found that any
particular medicine has expired, or is substandard or spurious, the Local Chemist will be liable to be
black-listed for a period of five (5) years for future participation in any ESIC tenderer. Besides any
other legal action as deemed fit will be taken. If for any unavoidable reason beyond your control, it is
not possible for local chemist to immediately supply the medicines and the hospital is compelled to
procure the same from other local chemist, extra expenditure on this account will be recovered from
subsequent bill(S) / security deposit. Under no circumstances the indented medicines would have to
be substituted in case the indent is of Brand item. h) Against each item, the “Maximum Retail Price” (M.R.P.), selling price, taxes claimed,
etc. must be clearly mentioned along with the Batch/Lot No., Manufacturing Date, Expiry Date,
in daily Challans/Indent and the bills submitted fortnightly.
i) All the Challans/Indent as well as bills are to be submitted strictly in triplicate. Bill
should be pre-receipted with application of revenue stamp wherever necessary. Care should be
taken submit the Challans/Indents and bills duly completed and without any errors to prevent
rejections/cancellation/delay in their processing of bills.
j) All items / drugs / dressings must have sufficient useful life for use in hand before it is
supplied to this hospital.
k) All the items must be marked stating “NOT FOR SALE” by the tenderer.
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20. PRESENTATION OF BILLS:
The Contractor shall present his bills for each fortnights supply within five (5) days of the
closing of each respective fortnight (1st - 15th by 20th of that month) (16th – 31st by 5th of next month) a) The Bill shall be in the printed and serially numbered invoices, credit bill with the name
and address of the Chemist and GST tax registration number printed thereon.
b) The bill shall show the summary of the total amount for each day for the net amount
claimed supported by a copy of acknowledged copy of the GRN cum Delivery Challan/Indent
with all the column duly filled in.
c) The contractor shall present separate bill for each category and there should be only 01
bill for each purchase order.
d) The purchaser reserves right also to demand in any case, the original of the suppliers'
invoices for verification of the Net Trade Price claimed by the contractor.
21. PAYMENT OF BILLS:
The mode of payment will be “e-payment” only. The contractor shall claim payments twice a
month. Payment of the bills prescribed in complete forms and in time will normally be arranged
within 45 days from the date of presentation. However, no claim shall be made by the contractor
against the ESI Corporation in respect of interest or damage in case the payment is delayed for
any reason beyond the control of the ESI Corporation.
22. RISK PURCHASE:
In case of failure to supply any or all items as per requisition / purchase order / specification /
prescribed brand of item or failure to turn up to collect the orders from the hospital, it shall be
treated as 'non-compliance' and 'breach of contract' and the order in part shall be arranged from
alternative source(s) at the discretion of the hospital authority and the difference in prices will be
Realized from the tenderer with whom the contract is made by way his subsequent / pending bills
or security deposit.
23. ARBITRATION:
In case of any dispute (Between the Purchaser and Local Chemist) arising under contract or in
regard to the interpretation of the terms and conditions of the contract, decision of the Medical
Superintendent or any other officer nominated by her to act as arbitrator in the dispute, shall be
final and binding on both parties of this contract. In case of disputes all the legal matters will be
settled under the jurisdiction of the courts of the Lucknow, Uttar Pradesh.
24. GENERAL INSTRUCTION:
a) Each and every page is to be signed and stamped by the tenderer.
b) Employees’ state Insurance Corporation staff & their family members should not apply
for the tender. Their tender liable to be rejected.
c) Any firm/agency debarred/blacklisted from ESIC institution anywhere in India will not
be considered and tender will be summarily rejected.
d) Tenderer who do not furnish attested and stamped documents referred above will not be
considered.
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Annexure III
QUOTE YOUR RATE
SCHEDULE FOR LOCAL PURCHASE OF DRUGS, DRESSINGS & SURGICAL
CONSUMABLES
The tenderer shall quote the percentage of maximum discount, which shall be on the Maximum
Retail Price printed on the packing/flaps/bottles (Refer Terms & Conditions in Annexure -II):
s.no HEAD Factor ( F) % Of Discount Quoted
1. Percentage of discount offered by the bidder on the MRP of Branded Items – DRUGS (Minimum 20 % discount)
0.3
2. Percentage of discount offered by the bidder on the MRP of Generic Items – Drugs (Minimum 60 % discount)
0.2
3. Percentage of discount offered by
bidder on the MRP of Anticancer drugs
0.05
4. Percentage of Discount offered by
bidder on the MRP of Lab chemicals
0.2
5. Percentage of Discount offered by
bidder on the MRP of X-ray films
0.05
6. Percentage of discount offered by the bidder on the MRP of– Dressings/ surgical /disposable items (all items treated as Generic ITEM ONLY) (Minimum 60 % discount )
0.2
Note: - All surgical, Consumable & disposable like Cotton roll, Bandages etc. are to be treated as
Generic ONLY.
Formula for calculation = 0.3* + 0.2* +0.05* + 0.2 *+0.05* + 0.2*
(% of discount offered by tenderer in each head multiplied by given Factor.)
The Tenderer will be awarded to the chemist offering maximum Discount as per the above
formula and it is mandatory to quote rates for all six items as above, otherwise the bid will be
rejected summarily.
Note:- In case more than one bidder quote the same lowest rate, the bidder with higher annual turnover
shall be given preference for award of work.
A) It is understood that the quantity is approximate, it may increase or decrease.
B) The delivery will be made to the stores of the E.S.I.C. Hospital, Lucknow
Date: Place:
Signature of the Tenderer: Full Name:
Designation:
(Office Seal of the Tenderer)
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EMPLOYEES’ STATE INSURANCE CORPORATION HOSPITAL
(Ministry of Labour and Employment, Government of India)
Sarojini Nagar, Near Literacy house /Krishna Nagar Metro station
Lucknow, Uttar Pradesh-226023
Tel-0522-2473814 Email: [email protected] ANNEXURE-IV
TENDER APPLICATION FORM
1 Name of the firm:- 2 Full Postal Address:-
a. (including the address of the branches of the shop)
b. Cell Phone No. c. Telephone No. & Fax No.
3 E-mail Address 4 Date of Establishment of Firm
5 If your Firm Registered under a) The Indian Factories Act b) Any other Act, if not, who are the owners
(Please give full address) 6 Name and Address of your Bankers stating the
name in which the Account stands
7 Whether insured against fire, theft, burglary
etc. If so, please state the amount and name of
company with policy no.
9 Are you in the list of approved contractors of
any other organizations /institutions, if any
give details 10 Give details of any Government contracts
executed during the last twelve months
11 Any other information which you consider
necessary to furnish
Date: Place:
Signature of the Tenderer:
Full Name:
Designation: (Office Seal of the Tenderer)
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UNDERTAKING
(On Non Judicial Stamp Paper of Rs 100/-)
a) I, the undersigned certify that I have gone through the terms and conditions mentioned in the
tender document and undertake to comply with them. b) The rates quoted by me are valid and binding upon me for the entire period of contract and it
is certified that the rates quoted are the lowest quoted for any other institutional hospital in India.
c) The earnest money Rs................................................................ To be deposited by me has been
enclosed herewith vide Demand Draft no................................................... dt...................................
drawn on bank......................................................................... Branch..............................................
d) I/We give the rights to the Medical Superintendent to forfeit the Security money deposited by
me/us if any delay occur on my part or failed to supply the article within the appointed time or
the items of desired quality. e) There is no vigilance/CBI case or court case pending against the firm and not declared invalid
by any department. f) I hereby undertake to supply the items as per directions given in the tender document/supply
order within stipulated period. g) I hereby certify that none of my family member(s) is/are employed in ESIC as per details
given in tender document. In case at any stage, it is found that the information given by me is
false/incorrect, ESIC Hospital, Lucknow shall have the absolute right to take any action as
deemed fit/without any prior intimation to me.
Date: Place:
Signature of the Tenderer:
Full Name:
Designation: (Office Seal of the Tenderer)
16
UNDERTAKING
(On Non Judicial Stamp Paper of Rs 100)
We hereby undertake that rates offered by us, will be within the price ceiling fixed by National
Pharmaceuticals Pricing Authority (NPPA), Ministry of Chemical & Fertilizers. We further
undertake that in case there is any down-ward revision by the NPPA, same will be passed on to
the ESI Corporation from the effective date during the currency of the contract and in case of
failure to do so we are liable to be debarred from future ESIC Tender Inquiry for a further period
of two years along with recovery of excess payment made due to reduced rate.
For and on behalf of the firm
Firm’s Name & Address